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EAST ORANGE MEDICAL PRACTICE
NPI 1114116175
Internal Medicine in East Orange, NJ

Active since October 16, 2007
108 S MUNN AVE, EAST ORANGE, NJ 07018(973) 674-8100(973) 674-8400 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Orange Medical Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST ORANGE MEDICAL PRACTICE (NPI 1114116175) is a healthcare organization registered as an internal medicine in East Orange, New Jersey and active in the NPI registry since October 2007. The organization lists Robert A Clarke, Director, as its authorized official.

NPPES Registry Identity

NPI1114116175
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAST ORANGE MEDICAL PRACTICE
Location Address108 S MUNN AVEEast Orange, NJ 07018-3402
Mailing Address108 S Munn AveEast Orange, NJ 07018-3402 · (973) 674-8100 · Fax (973) 674-8400
Phone(973) 674-8100
Fax(973) 674-8400
Organization SubpartNo
Authorized OfficialRobert A ClarkeDirector · (973) 674-8100
Enumeration DateOctober 16, 2007
✔ NPI 1114116175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08005400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
108 S MUNN AVE, East Orange, NJ 07018
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Other Identifiers 1

Medicare PIN100425NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NATALIE Y ROBERTS-MOORE MS, RD
Dietitian, Registered
108 S MUNN AVE
EAST ORANGE, NJ 07018
Essex County (973) 674-8100
GLADZIM MEDICAL LABORATORIES INC.
Clinical Medical Laboratory
108 S MUNN AVE
EAST ORANGE, NJ 07018
Essex County (973) 619-2622
TRACY TAPPIN-GREENE
Nurse Practitioner (Primary Care)
108 S MUNN AVE
EAST ORANGE, NJ 07018
Essex County (973) 674-8100
MS. TIFFANY LASHELL WEST FNP
Nurse Practitioner (Family)
108 S MUNN AVE
EAST ORANGE, NJ 07018
Essex County (201) 207-1598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Orange Medical Practice's NPI number?

The NPI number for East Orange Medical Practice is 1114116175. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is East Orange Medical Practice located?

East Orange Medical Practice is located at 108 S Munn Ave, East Orange, NJ 07018. The listed phone number is (973) 674-8100.

What is East Orange Medical Practice's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does East Orange Medical Practice accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list East Orange Medical Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Orange Medical Practice was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.